摘要
目的:明确感染性骨折不愈合行一期开放植骨的可行性。方法:患处彻底清创、单臂外固定架牢固固定、折端大量植骨、术后严格无菌换药。静脉滴注敏感抗生素,平均用药11d。结果:22例患者术后均获定期随访,随访时间为12～41个月,平均18个月。平均7周创面被肉芽覆盖,平均10周瘢痕自行愈合,平均10个月(6～18个月)外固定架去除。结论:一期开放植骨治疗骨折不愈合和骨缺损可最大限度的一次性完成扩创、固定、植骨,是目前治疗感染性骨折不愈合及骨缺损最为简单、有效的方法。
Objective：To dertermine the feasibility of open cancellous bone graft at one stage to treat infectious bone fracture nonunion. Methods： Radical debridement,external fixation,bone graft and rigidly aseptic change of dressing were performed. Intravenously sensitive antibiotics were administered.The average course of administration was 11 days.Results：All 24 cases were followed up. The duration of followed up was 18 months（range 12～41 months）.The lesion was covered with granulation tissue at 7 weeks,and scars were healed at 10 weeks,the external fixation was removed after 10 months（range 6～18 months）.Conclusion：Open cancellous bone graft at one stage to treat infectious bone fracture nonunion and bone lesion may undergo debridement,fixation and bone graft at one time,this technique is simple and effective.
出处
《内蒙古医学杂志》
2009年第7期795-796,共2页
Inner Mongolia Medical Journal
关键词
骨移植
感染
骨折
不愈合
Bone graft
Infection
Bone fracture
Nonunion
